CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Wellmont Holston Valley Medical Center

Billing Code: 72125 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$142

about 1.3× the $107 Medicare rate · typically $112–$155

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

About the fair price

about $4 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $142 This hospital $138 Cash price $532 Hospital's list price $3,545

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $43 Priciest $138

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, neck (cervical spine) is about $142 (about 1.3× the $107 Medicare rate). Wellmont Holston Valley Medical Center charges insurers about $138, or about $532 in cash — about the fair price. Located in Kingsport, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$99 - $3,026	93%
Blue Cross Blue Shieldmajor	$101 - $428	95%
Aetnamajor	$99 - $1,514	93%
Cignamajor	$104 - $642	97%
Humanamajor	$99	93%
Ambetter (Centene)	$216	202%
Amerigroup	$103	96%
Devoted Health	$104	97%
Molina	$104 - $140	97%
Sentara	$99 - $915	93%
WellCare	$105 - $3,545	98%
+ 4 smaller / regional plans	$99 - $238

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 532), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 72125.

Insurance Before you use insurance

Call your insurance company to confirm Wellmont Holston Valley Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 72125.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wellmont Holston Valley Medical Center

Compare: CT scan, neck (cervical spine) at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.